Sanford Medical Center Fargo
Clinic/Center, Rural Health in Forman, ND. Organization (NPI-2).
NPI number1073520003
StatusActive
Last updated in NPPESNov 29, 2022
Details
- NPI
- 1073520003
- Entity type
- Organization (NPI-2)
- Legal business name
- Sanford Medical Center Fargo
- Organization subpart
- No
- Enumeration date
- Aug 2, 2006
- Certification date
- Nov 29, 2022
- Last updated
- Nov 29, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR1300X | Clinic/Center, Rural Health | – | – | Yes |
Other names
- Sanford Health Forman Clinic (Doing Business As)
Practice location
336 Main StreetForman, ND 58032-0184
Phone 701-724-3221 · Fax 701-724-3222
Mailing address
Po Box 2168Fargo, ND 58107-2168
Phone 701-234-2119
Authorized official
Tony Lee Morrison
Vice President, Revenue Cycle
6053288380
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